St Joseph's Hospital: Directions to All Program and 2026

1. Click ‘Get Form’ to open the St. Joseph’s Hospital Referral Form in the editor.
2. Begin by filling out the 'Patient Information' section. Enter the patient's surname, given name, date of birth, sex, health card number, address, city, postal code, home phone, alternate phone number, date of referral, and PIN# or J#.
3. Next, complete the 'Referring Physician Information' section. Provide the physician's name (printed), physician number, address, city, postal code, phone number, fax number, email address, and signature. If applicable, include the family doctor’s name.
4. Indicate the reason for referral in the designated space. Select any relevant tests such as Echocardiogram or Exercise Stress Test by checking the appropriate boxes.
5. Finally, ensure to inform your patient about their appointment details including date and time. Advise them to visit St. Joseph’s website for additional information regarding their visit.

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